滚针联合自拟生发酊导入治疗脂溢性脱发50例临床观察

Clinical observation of roller microneedles combined with a self-formulated hair growth tincture in 50 cases of seborrheic alopecia

目的探究滚针联合自拟生发酊导入治疗脂溢性脱发的临床疗效。方法选取2023年4月至2024年2月广东省江门市新会区中医院皮肤科收治的脂溢性脱发患者50例,采用滚针均匀滚刺头皮后,即刻用自拟生发酊均匀喷涂需要治疗的头皮,并用保鲜膜封包。滚针导入治疗每周1次,同时每日早晚各喷涂自拟生发酊1次。治疗时间4~12周。每4周进行1次皮肤镜检查采图、受治区域毛发照片、患者自我评价记录,比较治疗前后的脱发量、治疗处头发密集度图片及局部皮肤镜检查影像图及患者自我评价。结果经过治疗,脱发量显著减少47例,中度减少1例,无明显变化2例,有效率96%。结论滚针联合自拟生发酊导入治疗脂溢性脱发疗效显著,安全性高。

Objective To explore the clinical efficacy of roller microneedles combined with a self-formulated hair growth tincture in the treatment of seborrheic alopecia.Methods The study included a total of fifty patients with seborrheic alopecia who underwent treatment at the Department of Dermatology, Xinhui Hospital of Traditional Chinese Medicine, between April 2023 and February 2024.The treatment involved evenly rolling of roller microneedles over the scalp, followed by the immediate application of a self-formulated hair growth tincture,which was evenly sprayed onto the treated areas of the scalp· Subsequently, the scalp was covered with plastic wrap to secure and optimize the efficacy of this therapeutic intervention. The roller microneedles treatment was performed once a week, while the self-formulated hair growth tincture was applied once in the morning and once in the evening daily.The treatment duration was 4 to 12 weeks. Dermoscopy images were taken every 4 weeks, along with photographs of the treated area's hair and patient self-assessments.These were used to compare the amount of hair loss, hair density in the treated area, dermoscopic images of the local scalp, and the patient's self-evaluations before and after treatment.Results After treatment, 47 cases showed a significant reduction in hair loss, 1 case had moderate improvement, and 2 cases showed no notable change, resulting in an overall effective rate of 96%. Conclusion The combination of roller microneedles and a self-formulated hair growth tincture is an effective, safe, and worthy treatment for seborrheic alopecia.